Services for mentally ill homeless persons: street-level integration. 1998

M Rowe, and M A Hoge, and D Fisk
Department of Psychiatry, School of Medicine, Yale University, New Haven, Conn., USA.

The key elements of a systems integration approach to delivery of human services are reviewed in terms of their application to services for mentally ill homeless persons. The example of a mental health outreach project illustrates the service- and systems-integrating influences of clinical case management with this population, and the ability of a "bottom-up" street-level approach to improve coordination and service accessibility for clients in general is discussed.

UI MeSH Term Description Entries
D008605 Mental Health Services Organized services to provide mental health care. Mental Hygiene Services,Health Services, Mental,Services, Mental Health,Services, Mental Hygiene,Health Service, Mental,Hygiene Service, Mental,Hygiene Services, Mental,Mental Health Service,Mental Hygiene Service,Service, Mental Health,Service, Mental Hygiene
D011050 Policy Making The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures. Analysis, Policy,Policy Analysis,Policy Development,Analyses, Policy,Development, Policy,Developments, Policy,Making, Policy,Policy Analyses,Policy Developments
D011369 Professional-Patient Relations Interactions between health personnel and patients. Contacting Clients,Pharmacist-Patient Relations,Professional Patient Relationship,Client, Contacting,Clients, Contacting,Contacting Client,Pharmacist Patient Relations,Pharmacist-Patient Relation,Professional Patient Relations,Professional Patient Relationships,Professional-Patient Relation,Relation, Pharmacist-Patient,Relation, Professional-Patient,Relations, Pharmacist-Patient,Relations, Professional-Patient,Relationship, Professional Patient,Relationships, Professional Patient
D003150 Community Health Workers Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services. Barefoot Doctors,Community Health Aides,Village Health Worker,Family Planning Personnel,Family Planning Personnel Characteristics,Village Health Workers,Aide, Community Health,Aides, Community Health,Barefoot Doctor,Community Health Aide,Community Health Worker,Doctor, Barefoot,Doctors, Barefoot,Health Aide, Community,Health Aides, Community,Health Worker, Community,Health Worker, Village,Health Workers, Community,Health Workers, Village,Personnel, Family Planning,Planning Personnel, Family,Worker, Community Health,Worker, Village Health,Workers, Community Health,Workers, Village Health
D003159 Community-Institutional Relations The interactions between members of a community and representatives of the institutions within that community. Community Outreach,Community Relations,Community Institutional Relations,Community Relation,Community-Institutional Relation,Outreach, Community,Relation, Community,Relation, Community-Institutional,Relations, Community,Relations, Community-Institutional
D003237 Connecticut State bounded on the north by Massachusetts, on the east by Rhode Island, on the south by Long Island Sound, and on the west by New York.
D006297 Health Services Accessibility The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others. Access To Care, Health,Access to Care,Access to Contraception,Access to Health Care,Access to Health Services,Access to Medications,Access to Medicines,Access to Therapy,Access to Treatment,Accessibility of Health Services,Availability of Health Services,Contraception Access,Contraceptive Access,Medication Access,Accessibility, Health Services,Contraceptive Availability,Health Services Geographic Accessibility,Program Accessibility,Access to Cares,Access to Contraceptions,Access to Medication,Access to Medicine,Access to Therapies,Access to Treatments,Access, Contraception,Access, Contraceptive,Access, Medication,Accessibilities, Health Services,Accessibility, Program,Availability, Contraceptive,Care, Access to,Cares, Access to,Contraception, Access to,Contraceptive Accesses,Health Services Availability,Medication Accesses,Medication, Access to,Medicine, Access to,Medicines, Access to,Therapy, Access to,Treatment, Access to
D006703 Ill-Housed Persons Persons without adequate housing or without permanent residence. The concept excludes nomadic peoples. Homeless Persons,Homeless Shelters,Shelterless Persons,Shelters for Homeless Persons,Street People,Unhoused Persons,Homelessness,Homeless Person,Homeless Shelter,Ill Housed Persons,Ill-Housed Person,People, Street,Person, Homeless,Person, Ill-Housed,Person, Shelterless,Person, Unhoused,Persons, Homeless,Persons, Ill-Housed,Persons, Shelterless,Persons, Unhoused,Shelter, Homeless,Shelterless Person,Shelters, Homeless,Unhoused Person
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013598 Systems Theory Principles, models, and laws that apply to complex interrelationships and interdependencies of sets of linked components which form a functioning whole, a system. Any system may be composed of components which are systems in their own right (sub-systems), such as several organs within an individual organism. General Systems Theory,Queuing Theory,General Systems Theories,Queuing Theories,Systems Theories,Systems Theories, General,Systems Theory, General,Theories, General Systems,Theories, Queuing,Theories, Systems,Theory, General Systems,Theory, Queuing,Theory, Systems

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